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1902338429
THERESA MARIE LONG
SALT LAKE CITY, UT
NPI
1902338429
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207W00000X Ophthalmology
(Licence: UT 10979080-1205)
Enumeration Date
2017-04-03
Last Update Date
2021-11-18
Business Address
THERESA MARIE LONG MD
JOHN A MORAN EYE CTR 65 MARIO CAPECCHI DRIVE
SALT LAKE CITY, UT 84132-0001
Phone number: 801-213-4044
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Mailing Address
THERESA MARIE LONG MD
JOHN A MORAN EYE CTR 65 MARIO CAPECCHI DRIVE
SALT LAKE CITY, UT 84132-0001
Phone number: 801-213-4044
Copy
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